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Dekalb Regional Medical Center: what a joint replacement costs

Fort Payne, AL 35968 · CMS Certification Number 010012. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,531
Medicare allowed amount, 14 cases, APC 5115
Inpatient here
$14,305
Avg total payment (incl. patient share), 25 Medicare stays, MS-DRG 470

Medicare prices at Dekalb Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,305$170,25211.9×$11,531
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,131$181,16312.0×—

Quality

Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 134 beds

Alabama requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Dekalb Regional Medical Center for a knee or hip replacement?

In 2024 the average total payment to Dekalb Regional Medical Center for an inpatient hip or knee replacement stay was $14,305 (MS-DRG 470, 25 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,531 per outpatient case (APC 5115, 14 cases).

What is Dekalb Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $170,252, 11.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Dekalb Regional Medical Center compare with other Alabama hospitals?

Dekalb Regional Medical Center's average total payment per Medicare stay is higher than 58% of the 24 Alabama hospitals that report inpatient hip or knee replacement.